Approaches to Demonstrating the Reliability and Validity of Core Diagnostic Criteria for Chronic Pain - 31/08/16
, Richard Ohrbach †, Sonia Sharma †, Eva Widerstrom-Noga ‡, Robert H. Dworkin §, Roger B. Fillingim ¶, Dennis C. Turk ‖Abstract |
The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks-American Pain Society Pain Taxonomy (AAPT) is designed to be an evidence-based multidimensional chronic pain classification system that will facilitate more comprehensive and consistent chronic pain diagnoses, and thereby enhance research, clinical communication, and ultimately patient care. Core diagnostic criteria (dimension 1) for individual chronic pain conditions included in the initial version of AAPT will be the focus of subsequent empirical research to evaluate and provide evidence for their reliability and validity. Challenges to validating diagnostic criteria in the absence of clear and identifiable pathophysiological mechanisms are described. Based in part on previous experience regarding the development of evidence-based diagnostic criteria for psychiatric disorders, headache, and specific chronic pain conditions (fibromyalgia, complex regional pain syndrome, temporomandibular disorders, pain associated with spinal cord injuries), several potential approaches for documentation of the reliability and validity of the AAPT diagnostic criteria are summarized.
Perspective |
The AAPT is designed to be an evidence-based multidimensional chronic pain classification system. Conceptual and methodological issues related to demonstrating the reliability and validity of the proposed AAPT chronic pain diagnostic criteria are discussed.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The ACTTION-APS Pain Taxonomy (AAPT) will provide chronic pain diagnostic criteria. |
• | Reliability and validity of AAPT criteria will be evaluated. |
• | Validation in the absence of objective reference standards for pain is challenging. |
• | Approaches to evaluation of reliability and validity of AAPT criteria are described. |
• | Results of validation studies will be used to guide future AAPT revisions. |
Key words : Chronic pain, taxonomy, classification, diagnostic criteria, reliability, validity
Plan
| The views expressed in this article are those of the authors, none of whom has financial conflicts of interest relevant to the specific issues discussed. No official endorsement by the U.S. Food and Drug Administration (FDA) or the pharmaceutical and device companies that have provided unrestricted grants to support the activities of the ACTTION public-private partnership with the FDA should be inferred. Financial support for this supplement and for the development of the AAPT has been provided by the ACTTION public-private partnership, which has received research contracts, grants, or other revenue from the FDA, multiple pharmaceutical and device companies, and other sources. A complete list of current ACTTION sponsors is available at: partners. |
Vol 17 - N° 9S
P. T118-T131 - septembre 2016 Retour au numéro
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